OMB control number

[OPHDST] Generic Clearance for the Collection of Minimal Data Necessary for Case Data During an Emergency Response

OMB 0920-1447 ยท HHS/CDC.

OMB 0920-1447

This information collection is designed to collect the MDN and response-specific data as needed, for confirmed, probable, and suspected cases of any disease or condition that is the subject of an emergency response at CDC. During an emergency response, CDC uses case data to inform actions that need to be taken at all levels of public health and by the public. State, tribal, local, and territorial (STLT) health departments and CDC need to exchange data on confirmed, probable, and suspected cases rapidly. Timely notification of cases from STLT to CDC is critical to provide situational awareness at the federal level to support decision making, particularly for public health threats. This Change Request is submitted to add new disease specific data elements (fields for outbreak status, CDC outbreak name, exposure dates, fields for 'other') for collection by CDC when individual GenICs are submitted under the 0920-1447 umbrella. Since each individual GenIC will differ, and will collect different data elements, there are no anticipated changes to the burden.

The latest form for [OPHDST] Generic Clearance for the Collection of Minimal Data Necessary for Case Data During an Emergency Response expires 2027-10-31 and is listed under ICR 202504-0920-012.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 0920-1447 NEW WORLD SCREWWORM (NWS) CASE REPORTForm and Instruction
OMB_0920-1447_Change Request_04092025.docxJustification for No Material/Nonsubstantive Change
OMB_0920-1447_Change Request_04092025.docx Justification for No Material/Nonsubstantive Change
Att 3 - List of MDN for Case Data 04092025.xlsxSupplementary Document
Att 3 - List of MDN for Case Data 04092025.xlsx Supplementary Document
EO14168 CRM MDN.docxJustification for No Material/Nonsubstantive Change
EO14168 CRM MDN.docx Justification for No Material/Nonsubstantive Change
SSA_MDN Generic ICR_Updated.docxSupporting Statement A
SSA_MDN Generic ICR_Updated.docxSupporting Statement A
Att 9 - PRA Burden Statement Screenshot.pdfSupplementary Document
Att 9 - PRA Burden Statement Screenshot.pdf Supplementary Document
Att 8 - Research Determination.pdfSupplementary Document
Att 8 - Research Determination.pdf Supplementary Document
Att 7 - DCIPHER PIA.pdfSupplementary Document
Att 7 - DCIPHER PIA.pdf Supplementary Document
Att 6 - Response Specific Data Element Form.docxSupplementary Document
Att 6 - Response Specific Data Element Form.docx Supplementary Document
Att 5 - MDN for Case Data Form_Updated.docxSupplementary Document
Att 5 - MDN for Case Data Form_Updated.docx Supplementary Document
Att 4 - List of Non MDN GenV2 Data Elements.xlsxSupplementary Document
Att 4 - List of Non MDN GenV2 Data Elements.xlsx Supplementary Document
List of MDN for Case Data 032025.xlsxSupplementary Document
List of MDN for Case Data 032025.xlsx Supplementary Document
Att 2a - 60 day FRN.pdfSupplementary Document
Att 2a - 60 day FRN.pdf Supplementary Document
Att 1 - Authorizing Legislation 42 USC 241.pdfSupplementary Document
Att 1 - Authorizing Legislation 42 USC 241.pdf Supplementary Document
SSB_MDN Generic ICR.docxSupporting Statement B
SSB_MDN Generic ICR.docxSupporting Statement B
Reemergence of New World Screwworm (NWS) Form and Instruction

All Historical Document Collections